HomeMy Public PortalAbout5002AGNES AVE_Electrical (2) 76A663 CE806 B-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER /
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE
OU� FIRST 20 $20 $ OWNER
LIGHT MAIL
ADDL ADDRESS
SWITCH OVER 20
10
115�U
TOTAL CITY TEL NO
LIGHTIN FIRST 2O 20FIXTURES ADDLL OV R 20 +o ELECTRICIA ,
RANGES CLO DRYERS WTR HTRS 100 ADDRESS
GARB DISP STA COOK , .-a
CITY TEL N
DISHWASH AUTO WASH
STATE
SPACE HTRS STA APP (ya H P MAX) 50 LICENSE NO
MOTORS OVER NOT OVER HP DIST7 NO I GROUPZONE I PROC SED BY
O + too
+ 3 ISO INSPECTION_RECORD a
3 8 200
S I5 250
15 50 300 >_
IL
50 100 Soo Q
SIGNS NO TRANS
NO LAMPS O
H
SERVICE O 600V NOT OVER 200A 1 00 V
W
o.
SERVICE O 600V OVER 200 A 200 y
SERVICE OVER 600V Soo
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT 186UING FEE too
TOTAL FEE $
r
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR SSIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERT THAT I AM PROPERL REGISTERED AND/OR
LICENSED AS RE UI ED BY LOS ANGELES UNTY AND STATE OF FIXTURES
CALIFORNIA OR T T I M THE L GA N OF THE ABOVE
DESCRIBED RESI E IA ROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMI
FINAL
VALIDATION ARTHUR C VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
�s _ACO 1 i 3 6€; FEB 28 2 A 14 40
/llv�